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Writing Samples
Band 8

write a referral letter

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Re: Emily Carter, DOB: 10 years old Thanks for seeing Emily Carter, a 10-year-old patient, who presented with a 3-month history of persistent fatigue, polydipsia, polyuria, and significant weight loss. Based on her new
blood
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 test results, she is highly suspicious of type one diabetes mellitus. She requires your urgent assessment and management. On the first observation, her vital signs were stable except for a slightly elevated pulse rate (90). Her growth parameters including weight and height were below the 25th percentile for her age. The
blood
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 test results revealed high random
blood
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 sugar (250 mg/dl) and hemoglobin A1c (8.5%). Her serum electrolytes were normal and the urinalysis did not show any ketones. She was generally healthy, without any history of surgeries or hospitalization. She is living with her parents. Her father has type 2 diabetes and her mother has hypothyroidism. I started an initial diet and instructed her parents on signs of hyperglycemia and hypoglycemia. Monitoring of her
blood
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 glucose level was commenced as well. I would be grateful if you could visit her to provide the final diagnosis and treatment. Yours sincerely,

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coherence cohesion
Ensure clear separation between various sections, such as patient history, current symptoms, and actions taken.
task achievement
Consider adding a brief introductory paragraph stating the purpose of the letter before diving into the patient details.
task achievement
The letter provides a thorough and complete response, meeting the task requirements effectively.
task achievement
The writing tone is suitable and professional for this type of correspondence.
coherence cohesion
The letter has a well-structured closing and greeting, making it easy for the reader to follow.

The Greeting

Depending on the style and aim of the letter, you will need to adapt your greeting.

Always start an informal letter in the ways:

  • Dear + name
  • Hi / Hello + name

‘Dear...’ is more appropriate, so stick with this.

For a formal letter there are two options for the greeting:

  • Use Dear Sir or Madam if you don’t know the name of the person you are writing to.
  • Use Dear + surname if you do know their name, e.g. Dear Mr Smith or Dear Mrs Jones.

Discover more tips in The Ultimate Guide to Get a Target Band Score of 7+ »— a book that's free for 🚀 Premium users.

Topic Vocabulary:
  • bilingual
  • multilingual
  • fluency
  • communicate
  • cognitive skills
  • cultural awareness
  • opportunities
  • globalized world
  • job market
  • interact
  • linguistic abilities
  • cultural exchange
  • language proficiency
  • language barrier
  • foreign travel
  • personal growth
  • academic achievement
  • self-confidence
  • enhance
  • cross-cultural communication
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